I'm sorry to hear of this with Patch, Grace. Medical treatment involving diuretics to address the ascites associated with chronic hepatopathies (liver disorders) will be needed long-term. His swollen abdomen will only improve if the diuretic can promote removal of that fluid quicker than he can form it and that will depend upon his liver's ability to produce albumin (the small protein that's needed to keep fluids inside vessels and out of third spaces such as the abdominal cavity). Please note that spironolactone dosed at 0.5-1 mg/kg every 12 hours is suggested as the initial diuretic. If failure to control his ascites is seen, furosemide (Frusedal) dosed at 0.5-2 mg/kg every 12 hours) or a combination of both drugs should be considered.
Centesis/drainage may be performed intermittently as needed for comfort when patients develop tense ascites (very large volumes of abdominal fluid). Caution is advised because abdominocentesis (removal of fluid by tapping his abdomen with a needle) may result in hypovolemia (lack of adequate volume of fluid in his bloodstream) and protein loss.
Please respond with further questions or concerns if you wish.